Individual
MR. BRIAN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
15 DORIS CT SE, CONCORD, NC 28025-3823
(864) 804-3270
Mailing address
15 DORIS CT SE, CONCORD, NC 28025-3823
(864) 804-3270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13701
NC
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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